Reason Code: PR-50

Error Description:

These are noncovered services because this is not deemed a 'medical necessity' by the payer.

Avoiding/Correcting This Error

The CPT/HCPCS code reported is not covered for the beneficiary, and the beneficiary is liable for these charges. If you have reported an incorrect code, or forgot a modifier, the claim will need to be reviewed as a reopening or a redetermination.